Anisimov, Danil

Anisimov, Danil is an individual health care provider with primary practice located at 20 Research Pkwy , Old Saybrook CT 06475-4214. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Anisimov, Danil can be contacted via phone (800) 370-3651.

Contact Information

Primary practice address
20 Research Pkwy Old Saybrook CT 06475-4214
Phone: (800) 370-3651
Fax: (860) 510-0020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4165 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4165 Connecticut

Profile Details

NPI number 1114150984
LBN Legal business name Anisimov, Danil
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2009
Last updated Apr 28th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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